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Reply to "is it necessary to have yearly scopes"

I am not sure yearly is necessary, but you do need monitoring if there is constant inflammation, and it should be on a case by case basis. Say if you had two scopes in a row with no indication of pouchitis or cuffitis, then every other or every 3 years would be OK. But, I agree, why go all the way to Cleveland when you live near so many good GIs and colorectal surgeons. I certainly would not fly across country for maintenance unless there were no good options.

Plus, you need to have someone local in case something comes up that needs more urgent attention.

Jan Smiler
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